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- Title
Clinico-microbiological Profile and Outcomes of Asymptomatic Bacteriuria in Pregnancy.
- Authors
Eshwarappa, Mahesh; Rao, Medha Y.; C., Gurudev K.; S., Gireesh M.; Swaroop, Asha; Suryadevara, Saritha
- Abstract
Background: Asymptomatic bacteriuria (ASB) during pregnancy can lead to symptomatic urinary tract infection (UTI), with increased fetal and maternal morbidity and mortality. We evaluated the incidence, clinical and microbiological profile, and outcome of ASB in pregnant women attending our antenatal clinic. Materials and Methods: This prospective study was conducted on 3769 pregnant women in a routine antenatal clinic at a tertiary care center. Participants were divided into two groups, ASB and non-bacteriuria. Data were collected in a standard proforma and analyzed using the software Statistical Package for the Social Sciences (SPSS) v. 20. Results: The incidence of ASB was 3.29% (124/3769). Majority of the women were in the age group of 21-30 years (78.76%, n = 89). Escherichia coli (61.06%) was the most common organism isolated. Maternal anemia (30.08% and 2.93% in the ASB and non-bacteriuria groups, respectively), low birth weight (LBW; 42.5% and 27.98% in the ASB and non-bacteriuria groups, respectively), intrauterine death (4.4% and 1.4% in the ASB and non-bacteriuria groups, respectively), and preterm delivery (37.2% and 22.31% in the ASB and non-bacteriuria groups, respectively) were were associated with ASB (P = 0.001). Conclusion: ASB was associated with maternal anemia, preterm delivery, intrauterine death, and LBW. Early detection and treatment of ASB may result in favorable maternal outcome.
- Subjects
INDIA; RISK assessment; ANEMIA; ENTEROCOCCUS; NITROFURANTOIN; EARLY medical intervention; MICROBIAL sensitivity tests; PROTEUS (Bacteria); PREMATURE infants; BACTERIURIA; SYMPTOMS; PREGNANCY outcomes; PREGNANT women; TERTIARY care; DESCRIPTIVE statistics; PERINATAL death; CHI-squared test; ORAL drug administration; PRENATAL care; LONGITUDINAL method; LOW birth weight; ESCHERICHIA coli; AMIKACIN; IMIPENEM; DATA analysis software; COMPARATIVE studies; EARLY diagnosis; STAPHYLOCOCCUS; LINEZOLID; CEPHALOSPORINS; DISEASE incidence; GRAM-positive bacteria; GRAM-negative bacteria; KLEBSIELLA; MEROPENEM; DISEASE risk factors; PREGNANCY
- Publication
Indian Journal of Nephrology, 2024, Vol 34, Issue 2, p134
- ISSN
0971-4065
- Publication type
Article
- DOI
10.4103/ijn.ijn_305_21